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Tracheal bronchus associated with recurrent pneumonia.

Schweigert M, Dubecz A, Ofner D, Stein HJ - Ulster Med J (2013)

Bottom Line: Abnormalities of the major airways are very uncommon congenital conditions which occur in approximately 2% of the adult population.Usually aberrant bronchi are asymptomatic and are only found by coincidence.We present the rare case of a 49-years-old woman with a tracheal bronchus causing associated with recurrent pneumonia of the right upper lobe.

View Article: PubMed Central - PubMed

Affiliation: Department of General and Thoracic Surgery, Klinikum Nürnberg Nord, Nürnberg, Germany.

ABSTRACT
Abnormalities of the major airways are very uncommon congenital conditions which occur in approximately 2% of the adult population. Usually aberrant bronchi are asymptomatic and are only found by coincidence. We present the rare case of a 49-years-old woman with a tracheal bronchus causing associated with recurrent pneumonia of the right upper lobe.

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Inflammatory lesions The frontal CT image shows numerous inflammatory lesions and parenchymal changes within the right apical upper lobe segment, which is marked by a red contour (arrow). The morphological alterations comprise tumorlike lesions, calcifications and bullae. The other parts of the lung show no signs of pathological transformation.
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fig03: Inflammatory lesions The frontal CT image shows numerous inflammatory lesions and parenchymal changes within the right apical upper lobe segment, which is marked by a red contour (arrow). The morphological alterations comprise tumorlike lesions, calcifications and bullae. The other parts of the lung show no signs of pathological transformation.

Mentions: A 49-year-old woman with a history of recurrent right upper lobe pneumonia was admitted to our department of thoracic surgery. For more than 10 years she has repeatedly sustained pulmonary infections and has been in hospital on several occasions. During the last episode of pneumonia bronchoscopy had been performed for the first time. An accessory bronchus originating from the proximal right main bronchus was found [Fig 2]. The regular right upper lobe bronchus was not displaced but consisted of only two segmental bronchi. Computed tomography of the chest confirmed the diagnosis of an aberrant apical segmental bronchus of the right upper lobe [Fig 1], a so called tracheal bronchus. Furthermore, the images showed acute as well as chronic inflammatory lesions and calcifications within the apical segment of the right upper lobe [Fig 1c]. The parenchymal changes were limited to this segment and formed tumorlike nodules. Preoperative FDG-PET-CT was not obtained.Figure 2.


Tracheal bronchus associated with recurrent pneumonia.

Schweigert M, Dubecz A, Ofner D, Stein HJ - Ulster Med J (2013)

Inflammatory lesions The frontal CT image shows numerous inflammatory lesions and parenchymal changes within the right apical upper lobe segment, which is marked by a red contour (arrow). The morphological alterations comprise tumorlike lesions, calcifications and bullae. The other parts of the lung show no signs of pathological transformation.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3756866&req=5

fig03: Inflammatory lesions The frontal CT image shows numerous inflammatory lesions and parenchymal changes within the right apical upper lobe segment, which is marked by a red contour (arrow). The morphological alterations comprise tumorlike lesions, calcifications and bullae. The other parts of the lung show no signs of pathological transformation.
Mentions: A 49-year-old woman with a history of recurrent right upper lobe pneumonia was admitted to our department of thoracic surgery. For more than 10 years she has repeatedly sustained pulmonary infections and has been in hospital on several occasions. During the last episode of pneumonia bronchoscopy had been performed for the first time. An accessory bronchus originating from the proximal right main bronchus was found [Fig 2]. The regular right upper lobe bronchus was not displaced but consisted of only two segmental bronchi. Computed tomography of the chest confirmed the diagnosis of an aberrant apical segmental bronchus of the right upper lobe [Fig 1], a so called tracheal bronchus. Furthermore, the images showed acute as well as chronic inflammatory lesions and calcifications within the apical segment of the right upper lobe [Fig 1c]. The parenchymal changes were limited to this segment and formed tumorlike nodules. Preoperative FDG-PET-CT was not obtained.Figure 2.

Bottom Line: Abnormalities of the major airways are very uncommon congenital conditions which occur in approximately 2% of the adult population.Usually aberrant bronchi are asymptomatic and are only found by coincidence.We present the rare case of a 49-years-old woman with a tracheal bronchus causing associated with recurrent pneumonia of the right upper lobe.

View Article: PubMed Central - PubMed

Affiliation: Department of General and Thoracic Surgery, Klinikum Nürnberg Nord, Nürnberg, Germany.

ABSTRACT
Abnormalities of the major airways are very uncommon congenital conditions which occur in approximately 2% of the adult population. Usually aberrant bronchi are asymptomatic and are only found by coincidence. We present the rare case of a 49-years-old woman with a tracheal bronchus causing associated with recurrent pneumonia of the right upper lobe.

Show MeSH
Related in: MedlinePlus